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Intraocular lens implants and risk of endophthalmitis

Identifieur interne : 008711 ( Main/Curation ); précédent : 008710; suivant : 008712

Intraocular lens implants and risk of endophthalmitis

Auteurs : J W B. Bainbridge ; M. Teimory ; H. Tabandeh ; J F Kirwan ; R. Dalton ; F. Reid ; C K Rostron

Source :

RBID : ISTEX:25160D248C90B9D3F892C053CDB70EE91DB40252

Abstract

AIM To investigate the possible association between the use of three piece foldable silicone polypropylene (SPP) intraocular lenses (IOLs) and an increased risk of postoperative endophthalmitis. METHODS A retrospective analysis was conducted of all cases of postoperative endophthalmitis following phacoemulsification surgery in a single unit over a 3 year period. The incidence of postoperative endophthalmitis in eyes with SPP IOLs was compared with the incidence in eyes with single piece polymethylmethacrylate (PMMA) IOLs. RESULTS 772 cataract extractions by phacoemulsification were performed. One (0.16%) of the 622 patients with PMMA IOLs developed endophthalmitis. Excluding one patient who had aplastic anaemia, five (3.33%) of 150 patients with SPP IOLs developed endophthalmitis. The relative risk for postoperative endophthalmitis associated with the use of the SPP IOL compared with the PMMA IOL was 20.1 (p=0.015). CONCLUSION This study adds further evidence to the concept that SPP IOLs can be a significant risk factor in the development of postoperative endophthamitis.

Url:
DOI: 10.1136/bjo.82.11.1312

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ISTEX:25160D248C90B9D3F892C053CDB70EE91DB40252

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J W B. Bainbridge
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M. Teimory
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H. Tabandeh
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J F Kirwan
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R. Dalton
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F. Reid
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C K Rostron
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<italic>AIM</italic>
—To investigate the possible association between the use of three piece foldable silicone polypropylene (SPP) intraocular lenses (IOLs) and an increased risk of postoperative endophthalmitis.

<italic>METHODS</italic>
—A retrospective analysis was conducted of all cases of postoperative endophthalmitis following phacoemulsification surgery in a single unit over a 3 year period. The incidence of postoperative endophthalmitis in eyes with SPP IOLs was compared with the incidence in eyes with single piece polymethylmethacrylate (PMMA) IOLs.

<italic>RESULTS</italic>
—772 cataract extractions by phacoemulsification were performed. One (0.16%) of the 622 patients with PMMA IOLs developed endophthalmitis. Excluding one patient who had aplastic anaemia, five (3.33%) of 150 patients with SPP IOLs developed endophthalmitis. The relative risk for postoperative endophthalmitis associated with the use of the SPP IOL compared with the PMMA IOL was 20.1 (p=0.015).

<italic>CONCLUSION</italic>
—This study adds further evidence to the concept that SPP IOLs can be a significant risk factor in the development of postoperative endophthamitis.

 Keywords: cataract surgery; phacoemulsification; intraocular lenses; endophthalmitis </p>
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